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General NPI Number Information
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NPI Number | 1538614144
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Entity Type | Individual
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Provider Name | KIMBRLEI MCCAIN LPC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 3230 E WOODMEN RD STE 110
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-8502
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Country | US
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Telephone | 719-623-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 36 PR 3151 APT 3
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City | OXFORD
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State | MS
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Zip | 38655-7017
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Country | US
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Telephone | 205-965-8390
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C2637A
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0018097
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License Number State | CO
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